16. Form 941. (Obj. 6) During the third quarter of 2020, the Fillmore Restaurant (EIN 93- 0530660) located at 244 North Second Street, Fillmore, New York 14735-0022, withheld income and social security taxes from its five employees. It withheld income taxes of $3,117 from employees' wages and tips of $15,570. In addition, Fillmore withheld $912.95 of social security taxes on $14,725 of social security wages, and $52.39 of social security taxes on $845 of social security tips. It also withheld $225.77 of Medicare taxes on $15,570 of Medicare wages. During the quarter, Fillmore electronically deposited income and employment taxes as follows: August 15, $1,833.52; September 15, $1,790.26; October 15, $1,875.43. Data for quarterly wages and reported tips of employees is as follows: Name Total Wages Social Security Wages Taxable Tips Reported Barker, J. R. $ 7,025 $ 7,025 $315 Duwe, H. K. 3,000 3,000 180 Miller, M. M. 2,000 2,000 120 Pressman, R. M. 1,200 1,200 125 Smathers, H. H. 1,500 1,500 105 $14,725 $14,725 $845 Prepare the third quarter Form 941, Employer's QUARTERLY Federal Tax Return, for the Fillmore Restaurant, using the blank form provided on the pages that follow. Fillmore filed Form 941 and M. L. Wright, President, signed it on October 25, 2020. 950120 OMB NO. 1945- Form 941 for 2020: Employer's QUARTERLY Federal Tax Return Department of the Treasury - Internal Revenue Service Report for this Quarter of 2020 (Rev. July 2020) (Check one.) Employer identification number (EIN) Name that your trade name) 1: January, February March 2: April May June 3: July, August September 4: October November, December Go to www.irs.gov/Form941 for instructions and the latest Information -DRAFT AS August 28, 2020 Read the separate instructions before you complete Form 941. Type or print within the boxes. Part 1: Answer these questions for this quarter. Number of employees who received wages, tips, or other compensation for the pay period including: Sept. 12 (Quarter 3) or Dec. 12 (Quarter 4) 1 2 Wages, tips, and other compensation 3 3 Federal income tax withheld from wages, tips, and other compensation Check and go to line 8. 4 If no wages, tips, and other compensation are subject to social security or Medicare tax Column 1 Column 2 5a Taxable social security wages x 0.124 =